| Organization Name: | DDC CLINIC FOR SPECIAL NEEDS CHILDREN |
| NPI Number: | 1124051842 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENG WANG (MEDICAL DIRECTOR) |
| Mailing Address: | 14567 Madison Rd Middlefield |
| State: | OH US |
| Postal Code: | 440629499 |
| Phone Number: | 4406321668 |
| Fax Number: | 4406321697 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 81033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |